Healthcare Provider Details

I. General information

NPI: 1124780697
Provider Name (Legal Business Name): LAUREN M BJORKLUND WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN MICHELLE BJORKLUND

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W 95TH ST STE 205
OAK LAWN IL
60453-2658
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-5340
  • Fax: 708-684-3355
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209023946
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: